Shock MCQs with Answers

Answer: C. Increased pulse

Tachycardia is the earliest compensatory sign of haemorrhagic shock; blood pressure falls only later.

Answer: C. Supine with the legs elevated

With very few exceptions, a person in shock is kept flat (supine) with the lower extremities slightly elevated. Gravity helps to maintain blood in the area of the vital organs. Keeping the patient prone (in a face-down position), in a side-lying position (lateral), or sitting up (Fowler's position) would not help circulate blood where it is critically needed. In fact, some of the described positions would interfere with emergency assessment and care.

Answer: D. The shock would be felt, but it would not cause the spouse any harm

Patients and families are often fearful about the activation of the ICD. Their fears are about the device itself and also about the occurrence of lifethreatening dysrhythmias that trigger its function. Family members need reassurance that, even if the device activates while they are touching the patient, the level of the charge is not high enough to harm the family member, although it will be felt. The ICD emits a warning beep when the patient is near magnetic fields, which could possibly deactivate it, but it does not beep before countershock. Priority Nursing Tip: An ICD monitors cardiac rhythm and detects and terminates episodes of ventricular fibrillation and ventricular tachycardia.